Omega II Therapeutic After School
NPI #1841529807 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1841529807
- Entity Type
- Organization
- Organization Name
- Omega II Therapeutic After School
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 21, 2009
- Last Updated
- Dec 21, 2009
Practice Location
- Address
- 256 E ELLERSLIE AVE STE B
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834-1407
- Phone
- (757) 256-0203
Authorized Official
- Name
- SHAUN AUBREY PARKER
- Title
- CEO
- Phone
- (757) 256-0203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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